Healthcare Provider Details

I. General information

NPI: 1619897964
Provider Name (Legal Business Name): CARLI NARDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BANNING ST STE 260
DOVER DE
19904-3489
US

IV. Provider business mailing address

200 BANNING ST STE 260
DOVER DE
19904-3489
US

V. Phone/Fax

Practice location:
  • Phone: 302-565-6505
  • Fax: 302-224-1402
Mailing address:
  • Phone: 302-565-6505
  • Fax: 302-224-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAC-001054
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: